FHIR Osiris Implementation Guide
2.1.0 - ci-build

FHIR Osiris Implementation Guide - Local Development build (v2.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Radiotherapy Plan

Official URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/radiotherapy-plan Version: 2.1.0
Draft as of 2024-03-21 Computable Name: RadiotherapyPlan

Radiotherapy plans planned or delivered to a patient

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... extension 2..*ExtensionExtension
... basedOn S0..3(Complex)Connection with the imaging module
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn
.... extension:seriesUID 0..1ExtensionExtension
.... extension:rtStructUID 0..1ExtensionExtension
... doseToVolume S0..*(Complex)Dose To Volume
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume
.... extension:fractionDose 1..1ExtensionExtension
.... extension:numberOfFractions 1..1ExtensionExtension
.... extension:totalDose 1..1ExtensionExtension
.... extension:rtDoseUID 0..1ExtensionExtension
.... extension:radiotherapyModality 1..1ExtensionExtension
.... extension:radiotherapyTechnique 1..1ExtensionExtension
.... extension:radiotherapyTreatmentMachinePlanned 0..1ExtensionExtension
... energyOrIsotope S0..*(Complex)Energy Or Isotope
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope
.... extension:quantityEnergyOrIsotope 1..1ExtensionExtension
.... extension:nameEnergyOrIsotope 0..1ExtensionExtension
... numberOfFractions S1..1unsignedIntNumber of Fractions
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
... reasonReplanification S0..1CodeableConceptReason Replanification
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/reasonReplanification
Binding: Radiotherapy Reason Replanification (required)
... algorithmName S1..1stringName of the algorithm
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/algorithmName
... Slices for identifier 1..*IdentifierExternal Identifiers for this procedure
Slice: Unordered, Open by pattern:type
.... identifier:rtPlanUID S1..1IdentifierUID RT Plan
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... partOf 1..1Reference(Radiotherapy Phase)Should Reference a Radiotherapy Treatment Phase
... category S1..1CodeableConceptType (planned or delivered)
.... coding
..... code S1..1codeSymbol in syntax defined by the system
Binding: Radiotherapy Category (required)
... code S1..1CodeableConceptIdentification of the procedure
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1255724003
.... coding
..... display 0..1stringRepresentation defined by the system
Required Pattern: Radiotherapy treatment plan (regime/therapy)
... subject S1..1Reference(Oncology Patient)Who the procedure was performed on
... performed[x] 1..1PeriodWhen the procedure was performed
.... start S1..1dateTimeStart date
.... end S1..1dateTimeEnd date

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.category.coding.coderequiredVSRadiotherapyCategory
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... basedOn S0..3(Complex)Connection with the imaging module
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn
.... extension:imagingStudyRef S0..1ExtensionImaging Study Reference
..... extension 0..0
..... url 1..1uri"imagingStudyRef"
.... extension:seriesUID S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"seriesUID"
.... extension:rtStructUID S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"rtStructUID"
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn"
.... Slices for extension 4..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..*ExtensionVolume targeted
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] S1..1Reference(Radiotherapy Volume Profile)Value of extension
.... extension:fractionDose S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"fractionDose"
..... value[x] S1..1stringValue of extension
.... extension:numberOfFractions S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"numberOfFractions"
..... value[x] S1..1unsignedIntValue of extension
.... extension:totalDose S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"totalDose"
..... value[x] S1..1stringValue of extension
.... extension:rtDoseUID S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"rtDoseUID"
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume"
... modalityAndTechnique S0..*(Complex)Modality And Technique
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique
.... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:radiotherapyModality S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"radiotherapyModality"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required)
.... extension:radiotherapyTechnique S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"radiotherapyTechnique"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required)
.... extension:radiotherapyTreatmentMachinePlanned S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"radiotherapyTreatmentMachinePlanned"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique"
... energyOrIsotope S0..*(Complex)Energy Or Isotope
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:quantityEnergyOrIsotope S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"quantityEnergyOrIsotope"
..... value[x] S1..1QuantityValue of extension
.... extension:nameEnergyOrIsotope S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"nameEnergyOrIsotope"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope"
... numberOfFractions S1..1unsignedIntNumber of Fractions
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
... reasonReplanification S0..1CodeableConceptReason Replanification
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/reasonReplanification
Binding: Radiotherapy Reason Replanification (required)
... algorithmName S1..1stringName of the algorithm
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/algorithmName
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier Σ1..*IdentifierExternal Identifiers for this procedure
Slice: Unordered, Open by pattern:type
.... identifier:rtPlanUID SΣ1..1IdentifierUID RT Plan
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... partOf ΣC1..1Reference(Radiotherapy Phase)Should Reference a Radiotherapy Treatment Phase
ref-1: SHALL have a contained resource if a local reference is provided
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... category SΣ1..1CodeableConceptType (planned or delivered)
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... coding Σ0..*CodingCode defined by a terminology system
..... code SΣ1..1codeSymbol in syntax defined by the system
Binding: Radiotherapy Category (required)
... code SΣ1..1CodeableConceptIdentification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1255724003
... subject SΣC1..1Reference(Oncology Patient)Who the procedure was performed on
ref-1: SHALL have a contained resource if a local reference is provided
... performed[x] Σ1..1PeriodWhen the procedure was performed
.... start SΣC1..1dateTimeStart date
.... end SΣC1..1dateTimeEnd date

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Procedure.identifier:rtPlanUID.typeextensiblePattern: MR
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.category.coding.coderequiredVSRadiotherapyCategory
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category
from this IG
Procedure.codeexamplePattern: SNOMED CT code 1255724003
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... basedOn S0..3(Complex)Connection with the imaging module
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:imagingStudyRef S0..1ExtensionImaging Study Reference
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"imagingStudyRef"
..... value[x] 0..1Reference(Imaging Study)Value of extension
.... extension:seriesUID S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"seriesUID"
..... value[x] 0..1stringValue of extension
.... extension:rtStructUID S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"rtStructUID"
..... value[x] 0..1Reference(ROI segmentation)Value of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn"
... doseToVolume S0..*(Complex)Dose To Volume
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 4..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..*ExtensionVolume targeted
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] S1..1Reference(Radiotherapy Volume Profile)Value of extension
.... extension:fractionDose S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"fractionDose"
..... value[x] S1..1stringValue of extension
.... extension:numberOfFractions S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"numberOfFractions"
..... value[x] S1..1unsignedIntValue of extension
.... extension:totalDose S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDose"
..... value[x] S1..1stringValue of extension
.... extension:rtDoseUID S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"rtDoseUID"
..... value[x] 0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume"
... modalityAndTechnique S0..*(Complex)Modality And Technique
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:radiotherapyModality S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"radiotherapyModality"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required)
.... extension:radiotherapyTechnique S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"radiotherapyTechnique"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required)
.... extension:radiotherapyTreatmentMachinePlanned S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"radiotherapyTreatmentMachinePlanned"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique"
... energyOrIsotope S0..*(Complex)Energy Or Isotope
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:quantityEnergyOrIsotope S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"quantityEnergyOrIsotope"
..... value[x] S1..1QuantityValue of extension
.... extension:nameEnergyOrIsotope S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"nameEnergyOrIsotope"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope"
... numberOfFractions S1..1unsignedIntNumber of Fractions
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
... reasonReplanification S0..1CodeableConceptReason Replanification
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/reasonReplanification
Binding: Radiotherapy Reason Replanification (required)
... algorithmName S1..1stringName of the algorithm
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/algorithmName
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier Σ1..*IdentifierExternal Identifiers for this procedure
Slice: Unordered, Open by pattern:type
.... identifier:rtPlanUID SΣ1..1IdentifierUID RT Plan
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system0..1uriIdentity of the terminology system
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period ΣC0..1PeriodTime period when id is/was valid for use
per-1: If present, start SHALL have a lower value than end
..... assigner ΣC0..1Reference(Organization)Organization that issued id (may be just text)
ref-1: SHALL have a contained resource if a local reference is provided
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn ΣC0..*Reference(CarePlan | ServiceRequest)A request for this procedure
ref-1: SHALL have a contained resource if a local reference is provided
... partOf ΣC1..1Reference(Radiotherapy Phase)Should Reference a Radiotherapy Treatment Phase
ref-1: SHALL have a contained resource if a local reference is provided
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category SΣ1..1CodeableConceptType (planned or delivered)
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1codeSymbol in syntax defined by the system
Binding: Radiotherapy Category (required)
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptIdentification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1255724003
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
Required Pattern: Radiotherapy treatment plan (regime/therapy)
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣC1..1Reference(Oncology Patient)Who the procedure was performed on
ref-1: SHALL have a contained resource if a local reference is provided
... encounter ΣC0..1Reference(Encounter)Encounter created as part of
ref-1: SHALL have a contained resource if a local reference is provided
... performed[x] Σ1..1PeriodWhen the procedure was performed
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC1..1dateTimeStart date
.... end SΣC1..1dateTimeEnd date
... recorder ΣC0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
ref-1: SHALL have a contained resource if a local reference is provided
... asserter ΣC0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
ref-1: SHALL have a contained resource if a local reference is provided
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor ΣC1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
ref-1: SHALL have a contained resource if a local reference is provided
.... onBehalfOf C0..1Reference(Organization)Organization the device or practitioner was acting for
ref-1: SHALL have a contained resource if a local reference is provided
... location ΣC0..1Reference(Location)Where the procedure happened
ref-1: SHALL have a contained resource if a local reference is provided
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference ΣC0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
ref-1: SHALL have a contained resource if a local reference is provided
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report C0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
ref-1: SHALL have a contained resource if a local reference is provided
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail C0..*Reference(Condition)A condition that is a result of the procedure
ref-1: SHALL have a contained resource if a local reference is provided
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated C1..1Reference(Device)Device that was changed
ref-1: SHALL have a contained resource if a local reference is provided
... usedReference C0..*Reference(Device | Medication | Substance)Items used during procedure
ref-1: SHALL have a contained resource if a local reference is provided
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Procedure.identifier:rtPlanUID.typeextensiblePattern: MR
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.category.coding.coderequiredVSRadiotherapyCategory
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category
from this IG
Procedure.codeexamplePattern: SNOMED CT code 1255724003
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeexampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... extension 2..*ExtensionExtension
... basedOn S0..3(Complex)Connection with the imaging module
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn
.... extension:seriesUID 0..1ExtensionExtension
.... extension:rtStructUID 0..1ExtensionExtension
... doseToVolume S0..*(Complex)Dose To Volume
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume
.... extension:fractionDose 1..1ExtensionExtension
.... extension:numberOfFractions 1..1ExtensionExtension
.... extension:totalDose 1..1ExtensionExtension
.... extension:rtDoseUID 0..1ExtensionExtension
.... extension:radiotherapyModality 1..1ExtensionExtension
.... extension:radiotherapyTechnique 1..1ExtensionExtension
.... extension:radiotherapyTreatmentMachinePlanned 0..1ExtensionExtension
... energyOrIsotope S0..*(Complex)Energy Or Isotope
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope
.... extension:quantityEnergyOrIsotope 1..1ExtensionExtension
.... extension:nameEnergyOrIsotope 0..1ExtensionExtension
... numberOfFractions S1..1unsignedIntNumber of Fractions
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
... reasonReplanification S0..1CodeableConceptReason Replanification
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/reasonReplanification
Binding: Radiotherapy Reason Replanification (required)
... algorithmName S1..1stringName of the algorithm
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/algorithmName
... Slices for identifier 1..*IdentifierExternal Identifiers for this procedure
Slice: Unordered, Open by pattern:type
.... identifier:rtPlanUID S1..1IdentifierUID RT Plan
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... partOf 1..1Reference(Radiotherapy Phase)Should Reference a Radiotherapy Treatment Phase
... category S1..1CodeableConceptType (planned or delivered)
.... coding
..... code S1..1codeSymbol in syntax defined by the system
Binding: Radiotherapy Category (required)
... code S1..1CodeableConceptIdentification of the procedure
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1255724003
.... coding
..... display 0..1stringRepresentation defined by the system
Required Pattern: Radiotherapy treatment plan (regime/therapy)
... subject S1..1Reference(Oncology Patient)Who the procedure was performed on
... performed[x] 1..1PeriodWhen the procedure was performed
.... start S1..1dateTimeStart date
.... end S1..1dateTimeEnd date

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.category.coding.coderequiredVSRadiotherapyCategory
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... basedOn S0..3(Complex)Connection with the imaging module
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn
.... extension:imagingStudyRef S0..1ExtensionImaging Study Reference
..... extension 0..0
..... url 1..1uri"imagingStudyRef"
.... extension:seriesUID S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"seriesUID"
.... extension:rtStructUID S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"rtStructUID"
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn"
.... Slices for extension 4..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..*ExtensionVolume targeted
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] S1..1Reference(Radiotherapy Volume Profile)Value of extension
.... extension:fractionDose S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"fractionDose"
..... value[x] S1..1stringValue of extension
.... extension:numberOfFractions S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"numberOfFractions"
..... value[x] S1..1unsignedIntValue of extension
.... extension:totalDose S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"totalDose"
..... value[x] S1..1stringValue of extension
.... extension:rtDoseUID S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"rtDoseUID"
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume"
... modalityAndTechnique S0..*(Complex)Modality And Technique
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique
.... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:radiotherapyModality S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"radiotherapyModality"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required)
.... extension:radiotherapyTechnique S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"radiotherapyTechnique"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required)
.... extension:radiotherapyTreatmentMachinePlanned S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"radiotherapyTreatmentMachinePlanned"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique"
... energyOrIsotope S0..*(Complex)Energy Or Isotope
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:quantityEnergyOrIsotope S1..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"quantityEnergyOrIsotope"
..... value[x] S1..1QuantityValue of extension
.... extension:nameEnergyOrIsotope S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"nameEnergyOrIsotope"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope"
... numberOfFractions S1..1unsignedIntNumber of Fractions
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
... reasonReplanification S0..1CodeableConceptReason Replanification
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/reasonReplanification
Binding: Radiotherapy Reason Replanification (required)
... algorithmName S1..1stringName of the algorithm
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/algorithmName
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier Σ1..*IdentifierExternal Identifiers for this procedure
Slice: Unordered, Open by pattern:type
.... identifier:rtPlanUID SΣ1..1IdentifierUID RT Plan
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... partOf ΣC1..1Reference(Radiotherapy Phase)Should Reference a Radiotherapy Treatment Phase
ref-1: SHALL have a contained resource if a local reference is provided
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... category SΣ1..1CodeableConceptType (planned or delivered)
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... coding Σ0..*CodingCode defined by a terminology system
..... code SΣ1..1codeSymbol in syntax defined by the system
Binding: Radiotherapy Category (required)
... code SΣ1..1CodeableConceptIdentification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1255724003
... subject SΣC1..1Reference(Oncology Patient)Who the procedure was performed on
ref-1: SHALL have a contained resource if a local reference is provided
... performed[x] Σ1..1PeriodWhen the procedure was performed
.... start SΣC1..1dateTimeStart date
.... end SΣC1..1dateTimeEnd date

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Procedure.identifier:rtPlanUID.typeextensiblePattern: MR
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.category.coding.coderequiredVSRadiotherapyCategory
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category
from this IG
Procedure.codeexamplePattern: SNOMED CT code 1255724003
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... basedOn S0..3(Complex)Connection with the imaging module
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:imagingStudyRef S0..1ExtensionImaging Study Reference
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"imagingStudyRef"
..... value[x] 0..1Reference(Imaging Study)Value of extension
.... extension:seriesUID S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"seriesUID"
..... value[x] 0..1stringValue of extension
.... extension:rtStructUID S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"rtStructUID"
..... value[x] 0..1Reference(ROI segmentation)Value of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/basedOn"
... doseToVolume S0..*(Complex)Dose To Volume
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 4..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..*ExtensionVolume targeted
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] S1..1Reference(Radiotherapy Volume Profile)Value of extension
.... extension:fractionDose S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"fractionDose"
..... value[x] S1..1stringValue of extension
.... extension:numberOfFractions S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"numberOfFractions"
..... value[x] S1..1unsignedIntValue of extension
.... extension:totalDose S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDose"
..... value[x] S1..1stringValue of extension
.... extension:rtDoseUID S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"rtDoseUID"
..... value[x] 0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/doseToVolume"
... modalityAndTechnique S0..*(Complex)Modality And Technique
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:radiotherapyModality S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"radiotherapyModality"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required)
.... extension:radiotherapyTechnique S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"radiotherapyTechnique"
..... value[x] S1..1CodeableConceptValue of extension
Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required)
.... extension:radiotherapyTreatmentMachinePlanned S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"radiotherapyTreatmentMachinePlanned"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/modalityAndTechnique"
... energyOrIsotope S0..*(Complex)Energy Or Isotope
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:quantityEnergyOrIsotope S1..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"quantityEnergyOrIsotope"
..... value[x] S1..1QuantityValue of extension
.... extension:nameEnergyOrIsotope S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"nameEnergyOrIsotope"
..... value[x] S0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/energyOrIsotope"
... numberOfFractions S1..1unsignedIntNumber of Fractions
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
... reasonReplanification S0..1CodeableConceptReason Replanification
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/reasonReplanification
Binding: Radiotherapy Reason Replanification (required)
... algorithmName S1..1stringName of the algorithm
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/algorithmName
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... Slices for identifier Σ1..*IdentifierExternal Identifiers for this procedure
Slice: Unordered, Open by pattern:type
.... identifier:rtPlanUID SΣ1..1IdentifierUID RT Plan
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system0..1uriIdentity of the terminology system
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period ΣC0..1PeriodTime period when id is/was valid for use
per-1: If present, start SHALL have a lower value than end
..... assigner ΣC0..1Reference(Organization)Organization that issued id (may be just text)
ref-1: SHALL have a contained resource if a local reference is provided
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn ΣC0..*Reference(CarePlan | ServiceRequest)A request for this procedure
ref-1: SHALL have a contained resource if a local reference is provided
... partOf ΣC1..1Reference(Radiotherapy Phase)Should Reference a Radiotherapy Treatment Phase
ref-1: SHALL have a contained resource if a local reference is provided
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category SΣ1..1CodeableConceptType (planned or delivered)
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1codeSymbol in syntax defined by the system
Binding: Radiotherapy Category (required)
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptIdentification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 1255724003
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
Required Pattern: Radiotherapy treatment plan (regime/therapy)
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣC1..1Reference(Oncology Patient)Who the procedure was performed on
ref-1: SHALL have a contained resource if a local reference is provided
... encounter ΣC0..1Reference(Encounter)Encounter created as part of
ref-1: SHALL have a contained resource if a local reference is provided
... performed[x] Σ1..1PeriodWhen the procedure was performed
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC1..1dateTimeStart date
.... end SΣC1..1dateTimeEnd date
... recorder ΣC0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
ref-1: SHALL have a contained resource if a local reference is provided
... asserter ΣC0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
ref-1: SHALL have a contained resource if a local reference is provided
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor ΣC1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
ref-1: SHALL have a contained resource if a local reference is provided
.... onBehalfOf C0..1Reference(Organization)Organization the device or practitioner was acting for
ref-1: SHALL have a contained resource if a local reference is provided
... location ΣC0..1Reference(Location)Where the procedure happened
ref-1: SHALL have a contained resource if a local reference is provided
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference ΣC0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
ref-1: SHALL have a contained resource if a local reference is provided
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report C0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
ref-1: SHALL have a contained resource if a local reference is provided
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail C0..*Reference(Condition)A condition that is a result of the procedure
ref-1: SHALL have a contained resource if a local reference is provided
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated C1..1Reference(Device)Device that was changed
ref-1: SHALL have a contained resource if a local reference is provided
... usedReference C0..*Reference(Device | Medication | Substance)Items used during procedure
ref-1: SHALL have a contained resource if a local reference is provided
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]requiredhttp://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Procedure.identifier:rtPlanUID.typeextensiblePattern: MR
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.category.coding.coderequiredVSRadiotherapyCategory
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category
from this IG
Procedure.codeexamplePattern: SNOMED CT code 1255724003
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeexampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

 

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